Provider Demographics
NPI:1720422793
Name:CATERED LIVING, LLC.
Entity Type:Organization
Organization Name:CATERED LIVING, LLC.
Other - Org Name:TEXAS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-528-4014
Mailing Address - Street 1:PO BOX 100848
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76185-0848
Mailing Address - Country:US
Mailing Address - Phone:817-601-5808
Mailing Address - Fax:855-631-3780
Practice Address - Street 1:7008 ALLEN PLACE DR.
Practice Address - Street 2:
Practice Address - City:ORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116
Practice Address - Country:US
Practice Address - Phone:817-601-5808
Practice Address - Fax:855-631-3780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014819253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care